DOI: 10.36347/sjmcr.2019.v07i01.020

Pages: 66-68

Idiopathic omental infarction is a rare cause of acute abdomen. We reported a 60-year-old lady who presented with sudden onset of abdominal pain for five days. The pain became more localized at the right iliac fossa. A physical examination revealed fever (101.4 F), severe RIF tenderness, and positive rebound tenderness. A USG of the abdomen showed feature of acute appendicitis. Diagnosis was carried on laparoscopically as gangrenous omental mass. The omental mass was excised and an appendectomy was performed. In summary, omental infarction should be considered as a deferential diagnosis for acute right-sided abdominal pain.